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Individual

ANGELA R BOMMARITO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LISW

Contact information

Practice address
167 S STATE ST STE 120, WESTERVILLE, OH 43081-2278
(614) 270-0910
Mailing address
PO BOX 902, ATHENS, OH 45701-0902
(614) 270-0910

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.0700030
OH

Other

Enumeration date
02/23/2007
Last updated
03/18/2010
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